Individual
MR. ROBERT THOMAS RYAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1339 E COURT STREET, SUITE 220, SEGUIN, TX 78155-5141
(830) 379-8491
(830) 386-0395
Mailing address
1339 E COURT STREET, SUITE 220, SEGUIN, TX 78155-5141
(830) 379-8491
(830) 386-0395
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L8933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169110701
—
TX
05
—
169110702
—
TX
01
—
8CR085
BCBS
TX
01
—
8P2311
BLUE CROSS BLUE SHIELD
TX
01
—
P00141950
RAIL ROAD MEDICARE
TX
Enumeration date
10/17/2006
Last updated
06/18/2012
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